Online Medical History Form

Easily send and receive a patient medical history form online. Send your medical history form to be filled out on a phone, tablet, or computer. Patients securely sign and submit completed medical history forms directly to your account. Track your patient's progress, send automated reminders, and receive completed medical history forms online.
Medical History Form Online

Medical History Form

Give your patients the freedom to complete medical history forms with any device, anywhere. Streamline the way you collect signatures and health history by setting up your online medical history form. 

Easily personalize this patient medical history form template with a secure form builder.

Sample Medical History Forms

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What is a Patient Medical History Form?

A medical history form is used to disclose a patient’s past medical details to healthcare providers, physicians, dentists, fitness centers, spas, or any other business that needs knowledge of past health conditions.

The purpose of an online medical history form is to collect important information regarding a patient’s health. The information entered on this form will determine care requirements and the risk factors for a patient. Medical history forms can vary depending on treatment, so FormDr’s medical history forms are easy to customize. 

It is also important to include medical history milestones such as surgeries, tests, or treatments on your medical history form. It is easy to add fields to collect accurate dates and any details that the patient is able to provide.

A medical history form can easily be the longest form that is given to a patient. These forms are best sent to patients via email or text message before an appointment to expedite the process. This gives your patient the time they need to comfortably and accurately answer all of the questions. 

Send online medical health history forms and give your patients the freedom to complete your form with any device, anywhere.

Use an Online Medical History Form Today

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Discover More Form Features

Setup secure online forms. Streamline your process of collecting information.
Mobile Friendly Forms

Mobile-Friendly Forms

Build fully-responsive online forms that allow your customers, clients, and patients to sign and submit on any device, anywhere, at any time.

HIPAA Compliant Electronic Signatures

Electronic Signatures

Easily collect electronic signatures from customers, clients, and patients. Anyone can digitally sign from their phone, tablet, or computer.

HIPAA Compliant Tablet Forms

Forms on iPads or Tablets

Give customers, clients, or patients the option to sign and complete online forms with an iPad or tablet. Online forms work on all tablets, regardless of operating system.

HIPAA Compliant File Upload

File Attachment Upload

With file upload fields, your customers, clients, or patients can easily upload documents, pictures, and other items with their online form.

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FormDr gives you everything you need to easily send and receive Secure GPDR compliant forms and documents. We help businesses and practices that:

  • Are having customers, clients, or patients fill out paper forms
  • Are emailing customers a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms